Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WAYNE L. JURKOVICH, DDS
Active Sole ProprietorWAYNE L. JURKOVICH, DDS is a General Dentistry healthcare provider located in WALLACE, Idaho. NPI 1700932704 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · WALLACE, ID
Registration Details
- NPI Number
- 1700932704
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 25, 2007 (19.566090192077 yrs)
- Last Updated
- Jul 9, 2007
- License
-
D1832 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
611 BANK STWALLACE, ID, 838732226Browse ID providers · Browse ZIP 83873
- Phone
- 2085568171
- Fax
- 2085568171
- Primary Specialty
-
General Dentistry
1223G0001X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.